Provider Demographics
NPI:1114014727
Name:CABIN, BRIAN LLOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:LLOYD
Last Name:CABIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:772N COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-4535
Mailing Address - Country:US
Mailing Address - Phone:520-319-2810
Mailing Address - Fax:520-319-2814
Practice Address - Street 1:772N COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-4535
Practice Address - Country:US
Practice Address - Phone:520-319-2810
Practice Address - Fax:520-319-2814
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ13314208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
D43756Medicare UPIN